CMS Price Transparency Data

Blood test, complete blood count (CBC)

Facility: Tulsa Spine & Specialty Hospital

Billing Code: 85025 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 85025
Insurance Median: $46
Cash Discount Price: $28
vs. Medicare Baseline: 5.92x Medicare

The contracted insurance negotiated median rate for a Blood test, complete blood count (CBC) at Tulsa Spine & Specialty Hospital is $46. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $28. Compared to the federal Medicare reimbursement reference rate of $7.77, this hospital’s rate is 5.92x the Medicare baseline. Located in 6901 South Olympia Avenue, Tulsa, OK.

Cash / Self-Pay

$28

Average discount available for prompt cash payment at this facility.

Insurance Median

$46

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$7.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $7.77 (100%)

Cash / Self-Pay: $28 (360%)

Insurance Median: $46 (592%)

Cash: $28 (360% of Medicare)

Ins. Median: $46 (592% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $7.77 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 592% of the Medicare baseline (a markup of 492%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Black Lung [6055]	$28	360%
Healthcare Highways [2210]	$28 - $46	360%
Lucent Health [6000]	$28	360%
Oncology Patient Assistance Programs [2295]	$28	360%
Oscar Insurance Company [7005]	$28	360%
Osma Health Network [2345]	$28	360%
Healthscope Benefits [2290]	$29	373%
UnitedHealthcare	$29	373%
Resource One Administrators [2815]	$46	592%
Universal Fidelity [2085]	$46	592%
Web Tpa [2115]	$46	592%
The Kempton Group Administrators [2905]	$50	644%
First Health [1375]	$69	888%
Medica [2910]	$69	888%
Multiplan [1680]	$69	888%
Cigna	$73	940%
National Association Of Letter Carriers [1695]	$73	940%
Pba [1775]	$73	940%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $28.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 85025.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Tulsa Spine & Specialty Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 85025.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.